Also, if you end up itemizing medical expenses on your 2025 tax return, when TurboTax asks you to enter your medical expenses, make sure to enter an item of Other expenses equal to the amount paid of expenses from the HSA in 2025, including those made to cover medical expenses paid in 2024 that were incurred after the establishment of the HSA. TurboTax automatically subtracts the amount of an HSA distribution used for medical expenses when determining the amount of medical expenses to include on Schedule A.